International Medical Journal

Journal ID : IMJ-20-09-2022-1541

Total View : 367

Title : COMPARITIVE STUDY BETWEEN MEDIAN AND PARAMEDIAN APPROACH FOR SPINAL ANAESTHESIA IN PREGNANT PATIENTS UNDERGOING LOWER SEGMENT CAESEREAN SECTION

Abstract : Midline approach for spinal anaesthesia is the most commonly used technique in practice compared to paramedian or lateral approach. A study was carried out in 50 patients undergoing LSCS of which 25 patients were given midline prick whereas other 25 were induced by giving paramedian prick for spinal anaesthesia. The results of better technique of induction was decided on basis of: Accuracy of getting through subarachnoid space without failure. Complaints of PDPH. Complaints of post dural puncture backache. Damage to spinal needle. Haemorrhagic tap. To study whether spinal anaesthesia through classic midline prick is better than paramedian approach in patients undergoing LSCS. A prospective randomised study was carried out in 50 pregnant females with maximum gravida score of 2 and all patients were divided in 2 groups of 25 each. The present study showed significant decrease in incidence of PDPH, post dural puncture backache, attempt to reach subarachnoid space and damage to spinal needle through paramedian approach. Spinal anaesthesia through lateral/ paramedian approach is better than classical midline approach..
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International Medical Journal

Journal ID : IMJ-20-09-2022-1540

Total View : 455

Title : Comparative study of Phenylephrine and Mephentermine in treating hypotension in proximal femur nailing surgeries

Abstract : Anaesthesia techniques generally involved in lower limb orthopedics surgeries are central neuraxial blockade techniques. Central neuraxial blockade usually achieved with either spinal anaesthesia, epidural anaesthesia or combined spinal anaesthesia. Proximal femur nailing is most commonly done under spinal anaesthesia. Spinal anaesthesia is most frequently associated with hypotension. The current study compares the use of Phenylephrine and Mephentermine in managing hypotension after subarachnoid blockade, and its efficacy in maintaining patient’s blood pressure to normal. A randomized, prospective study over 100 patients mostly adults both male and female who have given spinal anaesthesia for proximal femur nailing are selected. They are grouped into first 50 of group X who have given Phenyephrine and second 50 of group Y who have given Mephentermine. During study, number of allequate doses of drug and other side effects of individual drug were documented. Results were documented with the help of student’s paired t test and Chi square test. 33 hypotensive events occurred in Mephentermine group and 44 hypotensive events occurred in Phenylephrine group. Mean heart rate in Phenylephrine group was lower as compared to Mephentermine group. Mephentermine is more effective as compared to Phenylephrine in treating hypotension after spinal anaesthesia also have less recurrence rate..
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International Medical Journal

Journal ID : IMJ-17-09-2022-1535

Total View : 358

Title : A comparative study of single layered and double layered intestinal anastomosis: single centre experience

Abstract : The decision on single layer or double layer to opt in intestinal anastomosis is matter of concern since each method has its own advantages and disadvantages. This comparative study endeavors to compare the outcome of a single layer Vs. Double layer anastomosis in small and large bowel in terms of the duration required to perform intestinal anastomosis, various morbidity and mortality paramaters. A comparative observational study was conducted on the patients undergoing resection anastomosis of bowel in the department of surgery of a tertiary care hospital in Maharashtra. A pretested proforma was used to collect relevant information (patient data, clinical findings, lab investigations, follow-up events, complications) from all the selected patients for one year [June 2021 to June 2022]. Those patients with ages less than 18 years, co-morbid diseases like sepsis, known cardiovascular event history, deranged liver function, and renal function were excluded from the study. We used random number tables generated by computer for allotment of the cases into groups. Group 1: Single layer suture; Group 2: Double layer suture. The mean duration of anastomosis among group 1 was 20.55 minutes and among group 2 was 31.32 minutes. There was a significant difference between the two means. (p<0.05) The average length of stay was 8.13 days and 8.22 days among group 1 and group 2 respectively and this difference was statistically not significant. (p>0.05) There was no significant difference between the complications among the two groups. Single layer technique had an advantage of lesser duration when compared with double layered technique in intestinal anastomosis. Although the complications rate of obstruction, wound infection and longer stay of hospital was higher in double layered group but did not yield any significant difference in the present study..
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International Medical Journal

Journal ID : IMJ-11-09-2022-1530

Total View : 454

Title : A STUDY TO COMPARE ONSET TIME AND INTUBATING CONDITION COMPARING DIFFERENT DOSE OF ROCURONIUM IN BURN AND NON-BURN PATIENTS

Abstract : An aberrant pharmacodynamics responses to neuromuscular blocking drugs(NMBD)in burn patients increases the potential for lethal hyperkalemia with the administration of depolarizing muscle relaxant and 2.5-5 folds increase in the dose of plasma concentration requirement for non-depolarizing muscle relaxants. Therefore Rocuronium may be the drug of choice in burn patients. This study was planned to assess the onset time and intubating conditions with two different doses of rocuronium in patients with thermal injury. It was concluded that in non-burn patient onset time (loss of response to TOF) was 85.5±4.8 sec with a dose of 0.9 mg/kg as compared to 1.2 mg/kg it was 60.55±70.4, while in burn patients (more than 30% burn area) these values were 120.83±6.81 sec and 86.16±5.2 respectively..
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International Medical Journal

Journal ID : IMJ-08-09-2022-1529

Total View : 480

Title : Comparative study of Different Surgical Methods for Treatment of Pilonidal Sinus

Abstract : Present study has been conducted as PSG Medical College, Coimbatore and for this study 85 patients who were chosen who met with inclusion and exclusion criteria were subjected to detailed clinical examination and investigations. Depending upon the site of incompetence and the magnitude of disease, the treatment is carried out. All the results are evaluated and analyzed by comparing with other standard results. In this study, there was a male preponderance noted to be about 5:1 and the Disease was noted to be more common in persons who have worked pertaining to long duration of sitting. The most common treatments that the patients underwent were incision and drainage for abscesses and wide excision with healing by secondary intention, marsupialization and Limberg flap. The complications noted are wound infection. Wound dehiscence and collection. The recurrence rates for the individual treatments have been studied and noted. The duration of hospital stay and time taken for complete healing of the wound is noted to be lowest in the Limberg flap procedure..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023